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General NPI Number Information
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NPI Number | 1013532209
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Entity Type | Individual
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Provider Name | BREANNE KALI FLUSCHE
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Gender | Female
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Dates
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Enumeration Date | 06/12/2020
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Last Update Date | 09/17/2024
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Provider Practice Location Address
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Address Line | 200 N BRYANT AVE STE 120
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City | EDMOND
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State | OK
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Zip | 73034-6273
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Country | US
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Telephone | 405-832-6881
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Fax | 405-578-9818
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Provider Business Mailing Address
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Address Line | 200 N BRYANT AVE STE 120
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City | EDMOND
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State | OK
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Zip | 73034-6273
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Country | US
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Telephone | 405-832-6881
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Fax | 833-941-1685
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 106402
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License Number State | OK
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